Birmingham SNF LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

BIRMINGHAM SNF LLC

Doing business as

Birmingham Health Care Center

Practice address

1383 Johnson Dr
Rusk, TX 75785-1801

Phone

(903) 683-5444

NPI assigned

Oct 19, 2009

Last updated

Oct 19, 2009By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Zevi Kohn

Title

Cfo

Phone

(917) 370-9063

Specialties & licenses 2

Addresses

Other names 1

• Birmingham Health Care Center Doing business as

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1255910400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1255910400000",
    "number": "1750617221",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2225 E RANDOL MILL RD",
            "address_2": "STE630",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760116315",
            "telephone_number": "817-607-7400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1383 JOHNSON DR",
            "city": "RUSK",
            "state": "TX",
            "postal_code": "757851801",
            "telephone_number": "903-683-5444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BIRMINGHAM SNF LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-10-19",
        "last_updated": "2009-10-19",
        "status": "A",
        "authorized_official_last_name": "KOHN",
        "authorized_official_first_name": "ZEVI",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "917-370-9063"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "332BN1400X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Nursing Facility Supplies",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Birmingham Health Care Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Lisa Anderson, LVN
• Stephanie Simone Atkins, COTA
• Baylor County Hospital District (Avir at Rusk)
• Stacey Rose Belcher, M.D.
• Birmingham Health Care Center, L.P. (Birmingham Health Care Center)
• Stacy Lee Black, DDS PA
• Bonner Emergency Medicine Associates PA
• Brookshire Brothers Inc (Brookshire Brothers Pharmacy)
• Shana L Brown, CNP
• Troy Caldwell, MD

• Skilled Nursing Facility in Rusk, TX
• Providers in Rusk, TX by specialty
• Skilled Nursing Facility in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.